Active NPI
Nancy Ann Carlson, PH.D. OTR/L
- Occupational Therapist
- Silver Spring, MD
National Provider Identifier
1942584412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- AA478339
- Practice address
- 3210 N Leisure World Blvd Apt 604
Silver Spring, MD 20906-7602 - Phone
- (717) 877-3107
- NPI assigned
- Oct 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | AA478339 | MD | Primary |
Addresses
Primary practice location
3210 N Leisure World Blvd Apt 604
Silver Spring, MD 20906-7602
Mailing address
3210 N Leisure World Blvd Apt 604
Silver Spring, MD 20906-7602
Phone (717) 877-3107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA478339 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1942584412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 N LEISURE WORLD BLVD APT 604",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209067602",
"telephone_number": "717-877-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 N LEISURE WORLD BLVD APT 604",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209067602",
"telephone_number": "717-877-3107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "NANCY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PH.D. OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-03",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "AA478339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.